<div class="page-head">
	<h2>User</h2>
	<ol class="breadcrumb">
		<li><a href="#">Home</a></li>
		<li><a href="#">Form</a></li>
		<li class="active">User</li>
	</ol>
</div>
<div class="cl-mcont">
	<div class="row">
		<div class="col-md-12">

			<div class="block-flat">
				<div class="header">
					<h3>User</h3>
				</div>
				<div class="content">
					<form class="form-horizontal group-border-dashed" action="#" novalidate>
						<div class="form-group">
							<label class="col-sm-3 control-label">Name</label>
							<div class="col-sm-6">
								<input type="text" class="form-control" />
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">Father Name</label>
							<div class="col-sm-6">
								<input type="text" class="form-control" />
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">User Group</label>
							<div class="col-sm-6">
								<select class="form-control">
									<option>1</option>
									<option>2</option>
									<option>3</option>
									<option>4</option>
									<option>5</option>
								</select>
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">Mobile No</label>
							<div class="col-sm-6">
								<input type="text" class="form-control" />
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">Home Permanent Address</label>
							<div class="col-sm-6">
								<textarea class="form-control"></textarea>
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">Home Current Address</label>
							<div class="col-sm-6">
								<textarea class="form-control"></textarea>
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">Home Contact Detail</label>
							<div class="col-sm-6">
								<textarea class="form-control"></textarea>
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">Privious Employ Address</label>
							<div class="col-sm-6">
								<textarea class="form-control"></textarea>
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">Privious Employ Contact Details</label>
							<div class="col-sm-6">
								<textarea class="form-control"></textarea>
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">Salary Monthly</label>
							<div class="col-sm-6">
								<input type="text" class="form-control" />
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">Target Monthly</label>
							<div class="col-sm-6">
								<input type="text" class="form-control" />
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">Email Id</label>
							<div class="col-sm-6">
								<input type="text" class="form-control" />
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">Reference</label>
							<div class="col-sm-6">
								<input type="text" class="form-control" />
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">Last Qualification</label>
							<div class="col-sm-6">
								<input type="text" class="form-control" />
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">Date of Joining</label>
							<div class="col-sm-6" style="padding: 0px;">
								<div class="input-group date datetime col-md-5 col-xs-7" data-start-view="2" data-date="1979-09-16T05:25:07Z" data-date-format="dd MM yyyy - HH:ii p" data-link-field="dtp_input1">
									<input class="form-control" size="16" type="text" value="" />
									<span class="input-group-addon btn btn-primary">
										<span class="glyphicon glyphicon-th"></span>
									</span>
								</div>
							</div>
						</div>


						<div class="form-group">
							<label class="col-sm-3 control-label">Date of Birth</label>
							<div class="col-sm-6" style="padding: 0px;">
								<div class="input-group date datetime col-md-5 col-xs-7" data-start-view="2" data-date="1979-09-16T05:25:07Z" data-date-format="dd MM yyyy - HH:ii p" data-link-field="dtp_input1">
									<input class="form-control" size="16" type="text" value="" />
									<span class="input-group-addon btn btn-primary">
										<span class="glyphicon glyphicon-th"></span>
									</span>
								</div>
							</div>
						</div>


						<div class="submit_area">
							<button class="btn btn-primary" type="submit">Submit</button>
							<button class="btn btn-default">Cancel</button>
						</div>

					</form>
				</div>
			</div>

		</div>
	</div>

</div>